Individual provider Active NPI

Stephanie Jordan, MA, LPCC

  • Professional Counselor
  • Corbin, KY
National Provider Identifier
1730590449
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
262446 Issued in KY
Practice address
11437 Cumberland Falls Hwy
Corbin, KY 40701-7821
Phone
(859) 893-1163
Fax
(606) 620-4410
NPI assigned
May 15, 2014
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 262446 KY Primary

Addresses

Primary practice location

11437 Cumberland Falls Hwy
Corbin, KY 40701-7821

Mailing address

11437 Cumberland Falls Hwy
Corbin, KY 40701-7821
Phone (859) 893-1163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105001823 KY Practitioner - Mental Health Counselor 4880128495 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

1840 Cumberland Falls Hwy
Corbin, KY 40701-2729
Phone (606) 526-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
262446KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CC Behavioral Health Professional CurrentSince Mar 8, 2025 Accepting new patients
Baptist Health Medical Group Inc Professional CurrentSince Sep 1, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Specialized Alternative for Families and Youth of Kentucky, Inc. Past Accepting new patients

Locations

1840 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-4428

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

Interoperability endpoints

  • Direct secure messaging: sjordan149745@bhkydirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1730590449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11437 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017821",
            "telephone_number": "859-893-1163",
            "fax_number": "606-620-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 CUMBERLAND FALLS HWY",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017821",
            "telephone_number": "859-893-1163",
            "fax_number": "606-620-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "STEPHANIE",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "262446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.